Individual
MRS. DENISE MARIE NAMOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
562 WYOMING AVE, KINGSTON, PA 18704-3721
(570) 552-3767
(570) 552-3765
Mailing address
335 W UNION ST, NANTICOKE, PA 18634-2140
(570) 735-3074
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW012048
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023216260001
—
PA
01
—
62-00587
EVERCARE
PA
01
—
800012313
RAIL ROAD
TX
Enumeration date
06/11/2006
Last updated
10/06/2009
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